Accessing Gender-Affirming Care

What you need to know

• Family doctors can diagnose gender dysphoria, provide hormone
replacement therapy (HRT), and give referrals for gender affirming surgery.
• Some doctors may want to consult with mental health service providers, but
this is not required.
• Some doctors may want to refer to an endocrinologist or transgender health
clinic, but this is not required.
• If your doctor would like further training on how to support patients looking for
gender-affirming care, they can visit the Rainbow Health Ontario pages below.
• In order for OHIP to cover gender-affirming surgery, you must submit 1-2 assessments from
qualified healthcare providers. See the “OHIP Requirements for Gender-Affirming Surgery”
document below for further details.

Suggestions from the doctors at World Professional Association of Transgender Health (WPATH)

• It’s okay to request to record your conversation with your doctor.
• It’s okay to bring someone with you to your doctor’s appointments.
• It’s okay to advocate for yourself and/or have someone advocate with you.
• It’s okay to leave the room.

Helpful links

SHORE Centre in Kitchener-Waterloo now offering comprehensive gender-affirming care

Rainbow Health Ontario Guide for Primary Care Providers:

Rainbow Health Ontario mentorship call (1st & 3rd Wed each month):


OHIP Requirements for Gender-Affirming Surgery:

Sherbourne Guidelines – Quick Reference:

Sherbourne Guidelines – Full document:

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 (Soc8):